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10` �D'� " �xAM C�A� U. C. M M M <br /> 680 Chesapeake Dr <br /> 1 Redwood City,CA 94063 P O Box 2180,Houston,TX 77002-7426 <br /> (415)3649600 • FAX(415)364 9233 CHAIN OF CUSTODY <br /> Consultant's Name t - `' L Page of <br /> Address ' Site Location Sba7 461-1) <br /> Protect# Consultant Protect# --S Consultant Work Release# <br /> Protect Contact C Phone# �� Laboratory Work Release# .� <br /> c <br /> a� <br /> EXXON Contact �, Phone# EXXON RAS# U <br /> Sampled by(print) { Sampler's Signature <br /> Shipment Method iy ,� Air Bill # <br /> a <br /> TAT ❑ 24 hr ❑ 48 hr 1:172 hr 1:196 hrStandard (10 day) ANALYSIS REQUI%D <br /> Sample Collection Collection Matrix # of Sequoia's TPH/Gas TPH/ TRPH rJ `� Temperature <br /> Prs� BTEX/ Diesel 5 M /0 <br /> ©ate Time Soil/Water/Air ,3 <br /> Description Cont Sample# <br /> p 8015/ EPA 5520 ri inbound Seal Yes No <br /> 8020 8015 Outboundsew Yes No cc <br /> ,513 5 W 812LIll mcf l-01 XL X I Cr <br /> 58 i 1 162-3 <br /> �A , a <br /> 5,19 � Yv � 62 <br /> > <br /> S8 <br /> C00 <br /> R <br /> fahuu,� 1 I g_ 'IMLATINTA <br /> U <br /> COOLER fE 04i °C a <br /> r <br /> '5 <br /> RELINQUISHED FFILIATION Date Time ACCEPTED/AFFILIATION Date Time Additional Comments <br />